Steven A Mignacca, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT01117 Issued in RI

Practice address

697 Willett Ave
Riverside, RI 02915-2642

Phone

(401) 228-7678

Fax

(401) 228-7681

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mignacca Physical Therapy, LTD.

  • Physical Therapist
  • Riverside, RI
  • NPI 1518283985
  Medicare reassignment NPD Authorized official
• Lepre Physical Therapy of Cumberland, LLC

  • Physical Therapist
  • Cumberland, RI
  • NPI 1033224324
  NPD
• Tycam Rehab Inc.

  • Physical Therapist
  • Cumberland, RI
  • NPI 1801267950
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1952441776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20555",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029200946",
            "telephone_number": "401-228-7678",
            "fax_number": "401-228-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 WILLETT AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152642",
            "telephone_number": "401-228-7678",
            "fax_number": "401-228-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGNACCA",
        "first_name": "STEVEN",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PT01117",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0015873",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrey Mello
• Renee A Mensah, APRN
• Basma O Merhi, MD
• Metta Psychiatry & Wellness, LLC
• Mignacca Physical Therapy, LTD.
• Stacey-Ann Miller, MD, MPH
• Richard P Millman, MD
• Diane E Minasian, MD
• Baila Mir, PA
• Jessica Miranda

• Physical Therapist in Riverside, RI
• Providers in Riverside, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.